Deck 23: Driving and Community Mobility as an Instrumental Activity of Daily Living

Question 1

It is all right to allow individuals to drive post-stroke:

A) if you have only done a clinical assessment and found no cognitive or perceptual deficit.
B) even if they have a visual field cut.
C) only when they have passed both a clinical assessment and an actual driving test.
D) if they have normal visual acuity but delayed reaction time.

Answer 1

C
A comprehensive driver evaluation should involve the two phases of a clinical evaluation and an on-the-road evaluation.A therapist's decision regarding the patient's motor,sensory-perceptual,and cognitive abilities for driving should not be based solely on a clinical test or solely on an on-the-road test.

Question 2

A stereoscopic vision tester tests all of the following except:

A) color vision.
B) depth perception.
C) road sign recognition.
D) field of vision.

Answer 2

A
Color vision is not part of the stereoscopic evaluation.

Question 3

If patients have hemiparesis,but no cognitive or perceptual impairment found on a clinical assessment,they:

A) cannot drive, because they cannot grip the steering wheel.
B) can drive using adapted controls.
C) will not be able to transfer into a car, so driving is out of the question.
D) can only drive with another licensed driver in the car.

Answer 3

B
An adaptation such as a spinner knob would increase independence in driving.

Question 4

People with homonymous hemianopsia:

A) can drive without any modifications.
B) can drive with adapted hand controls.
C) can drive if their visual acuity is at least 20/40.
D) cannot drive.

Question 5

Drivers who have had strokes are liable when they:

A) drive and the driving specialist and their doctor have advised them to quit.
B) follow the directions of a therapist and still have an accident.
C) drive when their doctor says it is all right.
D) have given their medical caregivers permission to report their successful outcome of a clinical and driving assessment to their liability insurer.

Question 6

Older drivers may commonly make all of the following errors except:

A) using an irregular or slow driving speed.
B) bumping into curbs.
C) having difficulty seeing a car approach from either field of vision.
D) demonstrating difficulty backing up or turning the vehicle.